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What is the Normal Anomaly Scan Report?

Published in Pregnancy Scan 3 mins read

A normal anomaly scan report indicates that, during a detailed ultrasound examination (typically performed between 18-22 weeks of pregnancy), the baby's development appears to be within the expected range, and no significant structural abnormalities were detected.

Here's a breakdown of what a normal anomaly scan report usually includes:

Key Components of a Normal Anomaly Scan Report

  • Fetal Measurements: These measurements help determine the baby's gestational age and growth. Normal ranges are provided for each measurement.
    • Biparietal Diameter (BPD): The diameter of the baby's head.
    • Head Circumference (HC): The circumference of the baby's head.
    • Abdominal Circumference (AC): The circumference of the baby's abdomen.
    • Femur Length (FL): The length of the baby's thigh bone.
  • Anatomical Survey: A thorough examination of the baby's organs and body parts to check for any structural abnormalities. A normal report will indicate that these structures appeared normal for the gestational age. This includes:
    • Brain: Checking for the presence of ventricles, cerebellum, and other brain structures.
    • Face: Examining the lips (to rule out cleft lip), nose, and eyes.
    • Spine: Assessing the spine's alignment and integrity.
    • Heart: Evaluating the four chambers of the heart, major blood vessels, and heart rate.
    • Lungs: Observing lung development.
    • Abdomen: Examining the stomach, kidneys, bladder, and bowel.
    • Limbs: Checking the arms, legs, hands, and feet.
  • Placenta: Assessment of the placenta's position and appearance. A normal report will indicate the placenta is appropriately located and appears healthy.
  • Amniotic Fluid: Evaluation of the amount of amniotic fluid surrounding the baby. A normal report will show that the amniotic fluid volume is within the normal range.
  • Umbilical Cord: Examination of the umbilical cord to ensure it has three vessels (two arteries and one vein).
  • Fetal Position: Indication of the baby's position in the uterus.

Important Considerations

  • "Normal" Does Not Guarantee Perfection: A normal anomaly scan significantly reduces the likelihood of major structural abnormalities being present, but it cannot detect all conditions. Some subtle or functional abnormalities may not be visible on ultrasound.
  • Further Investigation May Be Recommended: In some cases, even with a generally "normal" scan, the sonographer might recommend further investigation or follow-up scans if there are any minor concerns or if the baby's position made it difficult to visualize certain structures.
  • Expert Interpretation is Key: The anomaly scan report should always be interpreted by a qualified healthcare professional, such as a doctor or midwife, who can explain the findings and answer any questions.
  • Soft Markers: Sometimes, the scan can reveal "soft markers" – minor variations that are often normal but may be associated with an increased risk of chromosomal abnormalities. If soft markers are identified, the healthcare provider will discuss the implications and whether further testing, such as amniocentesis or chorionic villus sampling, is recommended.

In summary, a normal anomaly scan report provides reassurance that the baby's anatomy appears to be developing normally based on the ultrasound examination. However, it is crucial to discuss the report's findings with a healthcare professional for personalized guidance.

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